title: [Reconstruction after distal gastrectomy].
abstract: To select the best reconstruction method after distal gastrectomy, we analyzed the endoscopic features and gastrointestinal quality of life in patients who underwent either Billroth I or Roux-en-Y reconstruction. The Billroth I procedure is simpler, more physiologically normal, and allows easier endoscopic access to the duodenum. Although it is more complex, the Roux-en Y procedure can prevent bile reflux, is safe, and is superior to the Billroth I procedure both functionally and symptomatically. The Roux-en-Y procedure is thus one of the best options after distal gastrectomy. Selection of the reconstruction procedure should be based on clinical evidence.
authors.affiliation: Gastric Surgery Division, National Cancer Center Hospital, Tokyo, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Katai
authors.forename: Souya
authors.initials: S
authors.lastname: Nunobe
authors.forename: Makoto
authors.initials: M
authors.lastname: Saka
authors.forename: Takeo
authors.initials: T
authors.lastname: Fukagawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Sano
mesh_terms: D000713:Anastomosis, Roux-en-Y; D005743:Gastrectomy / Q000379:methods*; D005763:Gastroenterostomy; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D013274:Stomach Neoplasms / Q000601:surgery